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Individual

NATHAN ZACHARIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116029272
VA
207Q00000X
Family Medicine Physician
12357371-1205
UT
207Q00000X
Family Medicine Physician
Primary
A154803
CA

Other

Enumeration date
06/10/2016
Last updated
01/21/2025
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